Provider Demographics
NPI:1699846741
Name:HARWOOD, GAIL LEVITT (LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LEVITT
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 S LEWIS AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5151
Mailing Address - Country:US
Mailing Address - Phone:918-742-2233
Mailing Address - Fax:918-746-0573
Practice Address - Street 1:4870 S LEWIS AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5151
Practice Address - Country:US
Practice Address - Phone:918-742-2233
Practice Address - Fax:918-746-0573
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical